Corey Alexander Stack, PA

Physician Assistant · Lockport, NY

Individual Active NPI

NPI number 1487447538

Practice location

5801 S Transit Rd
Lockport, NY 14094-5811
Phone
(716) 727-2018

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NPI record

NPI
1487447538
Entity type
Individual (Type 1)
Enumeration date
May 22, 2025
Last updated
May 22, 2025
Certified
May 22, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —

Mailing address

480 Aberdeen Rd
Lewiston, NY 14092-1023
Phone
(830) 563-7390

About Corey Stack

Corey Alexander Stack, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 5801 S Transit Rd, Lockport, NY 14094-5811. The NPI number 1487447538 was assigned on May 22, 2025 and the record was last updated on May 22, 2025.

Frequently asked questions

What is the NPI number of Corey Alexander Stack, PA?

The NPI number is 1487447538.

What is the phone number of Corey Stack?

The phone number listed for the practice location is (716) 727-2018.

Where is Corey Stack located?

5801 S Transit Rd, Lockport, NY 14094-5811.

What is the taxonomy code for Corey Stack?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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